HomeMy WebLinkAbout22-1220 MedicareCENTERS FOR MEDICARE & MEDICAID SERVICES
CLINICAL LABORATORY IMPROVEMENT
LABORATORY NAME AND ADDRESS
CITY OF ELGIN FIRE DEPARTMENT
550 SUMMIT ST
ELGIN, IL 60120
LABORATORY DIRECTOR
ROBERT B CAGANN
Pursuant to Section 353 of the Public Health Services Act (42 U.S.C. 263a) as revised by the Clinical Laboratory Improvement Amendments (CLIA),
the above named laboratory located at the address 'shown hereon (and other approved locations) may accept human specimens
for the purposes of performing laboratory examinations or procedures.
This certificate shall be valid until the expiration date above, but is subject to revocation, suspension, limitation, or other sanctions
for violation of the Act or the regulations promulgated thereunder.
GMS
CENTERS FOR MEDICARE & MEDICAID SERVICES
1852 Certs1_121322
If this is a Certificate of Rqktration, it represents only the enrollment of the laboratory in the CLIA program and does not
indicate a Federal certification of compliance with other CLIA requirements. The laboratory is permitted to begin testing
upon receipt of this certificate, but is not determined to be in compliance until a survey is successfully completed.
• If this is a Certificate for Provider -Performed Microscopy Procedures, it certifies the laboratory to perform only those
laboratory procedures that have been specified as provider -performed microscopy procedures and, if applicable,
examinations or procedures that have been approved as waived tests by the Department of Health and Human Services.
• If this is a Certificate of Waiver, it certifies the laboratory to perform only examinations or procedures that have been
approved as waived tests by the Department of Health and Human Services.
FOR MORE INFORMATION ABOUT CLIA, VISIT OUR WEBSITE AT WWW.CMS.GOV/CLLA
OR CONTACT YOUR LOCAL STATE AGENCY. PLEASE SEE THE REVERSE FOR
YOUR STATE AGENCY'S ADDRESS AND PHONE NUMBER.
PLEASE CONTACT YOUR STATE AGENCY FOR ANY CHANGES TO YOUR CURRENT CERTIFICATE.